GENERAL ACCIDENT INSURANCE CO. OF AMERICA v. STATE OF NEW JERSEY, DEPARTMENT OF ENVIRONMENTAL PROTECTION v. HARTFORD INSURANCE COMPANY
Case Date: 03/26/1996
Docket No: SYLLABUS
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(This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for
the convenience of the reader. It has been neither reviewed nor approved by the Supreme Court. Please
note that, in the interests of brevity, portions of any opinion may not have been summarized).
GENERAL ACCIDENT INSURANCE CO. OF AMERICA V. STATE OF NEW JERSEY, DEPARTMENT
OF ENVIRONMENTAL PROTECTION, ET AL. V. HARTFORD INSURANCE COMPANY, ET AL.
Argued November 28, 1995 -- Decided March 26, 1996
O'HERN, J., writing for a unanimous Court.
The issue on appeal is whether remedial studies conducted in connection with governmentally-mandated environmental cleanups are to be classified as indemnity payments or defense costs under a policy
of comprehensive general liability (CGL) insurance.
Ordinarily, liability insurance provisions differentiate between a duty to pay on behalf of the
policyholder's sums that the insurance company is obligated to pay as damages because of harms or losses
covered by the insurance policy, and the duty to defend the policyholder against any claim for damages.
Depending on the policy language, defense costs will either count toward the stated coverage limit of the
policy or they will be exclusive of the limit of liability. In cost-exclusive policies, the insurer's coverage
obligation can be greater than the indemnity limit.
General Accident Insurance Co. (GAIC) issued a comprehensive general liability and automotive
insurance policy to N.B. Fairclough & Son, Inc. (Fairclough) for the period December 31, 1972 to December
31, 1975. The CGL policy provided annual property damage limits of liability of $100,000. During the policy
years, Fairclough operated a fuel storage business. In 1974, fuel oil stored on Fairclough's premises leaked
and migrated into local ground water. By 1985, investigations by the Department of Environmental
Protection and Energy (DEPE) revealed that fifteen nearby homes had petroleum products in their private
supply wells. On December 31, 1985, DEPE directed Fairclough to collect and analyze water samples from
the contaminated wells and prepare a remedial action plan for the contaminated soil and an investigation and
remediation plan for the contaminated groundwater to determine the full extent and degree of contamination
at the Fairclough site. In a subsequent directive dated April 8, 1987, the DEPE ordered Fairclough to pay
for the extension of water mains to the homes of those residents with contaminated wells and to close and
seal the contaminated private supply wells. The estimated cost of this project was $719,400. DEPE informed
Fairclough that if it failed to remit payment within thirty days, the DEPE would complete the project using
public funds and bring an action against Fairclough for three times the cost of remediation. The DEPE later
served an administrative order on Fairclough that required it to submit a remedial investigation/feasibility
study (RI/FS) for the site and to analyze and monitor the water supply from all private wells located within
the targeted zone. The order also assessed $190,500 in civil administrative penalties.
Relying on its CGL policy, Fairclough demanded that GAIC defend and indemnify it for any claims
arising out of the DEPE directives. On September 8, 1987, GAIC filed a declaratory judgment action,
asserting that it had no obligation to defend or indemnify Fairclough because none of the property damage
cited by DEPE had occurred during the relevant policy period. In addition, GAIC argued that the remedy
sought from Fairclough by the DEPE directives fell within the policy's pollution exclusion clause.
In March 1990, during the course of the coverage litigation, Fairclough and GAIC entered a
stipulation and consent order providing, among other things, that: 1) GAIC would provide indemnity
coverage to Fairclough in an amount not to exceed the aggregate sum of $100,000 for claims other than
bodily injury claims related to the site; 2) GAIC would continue to provide Fairclough with a defense of all
claims arising out of certain DEPE directives pertaining to the site; and 3) on exhaustion of the $100,000 to
indemnity payments, as differentiated from defense payments, GAIC's obligation to provide a defense would
terminate. In January 1994, GAIC brought a motion to enforce litigant's rights, seeking a determination that it owed no further duty to indemnify or defend Fairclough because of the exhaustion of the $100,000 policy limit. GAIC alleged that at the time of the motion, it had paid in excess of $100,000 in response costs
pursuant to DEPE directives and administrative orders requiring Fairclough to undertake the remedial
investigation of petroleum contamination at its former fuel storage site. GAIC argued that the response
costs constitute damages under CGL policy and are, therefore, indemnification costs, not defense costs. The
trial court agreed and granted GAIC's motion. The Appellate Division reversed, maintaining that the plain
language of the policy encompassed remedial investigation costs.
The Supreme Court granted General Accident's petition for certification.
HELD: In this case, mandated remedial investigation and feasibility study costs should be fairly allocated
between the defense and indemnity provisions of a comprehensive general liability insurance policy.
1. Environmental-response costs and remediation expenses constitute sums that the policyholder will have to
pay as damages within the meaning of the CGL policies at issue. Coverage does not hinge on the form of
action taken or on the nature of relief sought, but on the actual or threatened use of legal process to coerce
payment or conduct by a policyholder. The New Jersey Spill Compensation and Control Act is coercive in
that it provides that a potentially responsible party (PRP) that refuses to comply with a DEPE directive to
provide and RI/FS may be subject to treble damages if found responsible for the pollution. (pp. 10-11)
2. Fortuity should not dictate the outcome of the controversy. A legal result should be the same regardless
of the circumstances under which the expenditures were made. In this case, fortuity cuts both ways. GAIC
may consider it fortuitous that DEPE ordered Fairclough to conduct an RI/FS because the insurance
company might thereby avoid financial responsibility for investigative defense costs that it would otherwise be
bound contractually to furnish. On the other hand, it may be fortuitous for the policyholder that the
extraordinary costs for remedial investigations be absorbed by an insurance company regardless of its policy
limits. (pp. 11-17)
3. One of the dominant themes in insurance law is that the outcome should fulfill the fair expectations of
the parties. Policyholders generally expect that a careful investigation of their potential liability would be
provided by their insurer pursuant to its duty to defend against any claims and most insurance companies
expect that they will incur these expenses. That the government orders a policyholder to perform remedial
investigations does not change the character of the work or the initial expectations of the parties. The more
difficult question is whether a policyholder could fairly expect that an insurance company would bear limitless
liability to perform remedial investigations when those investigations were incidental to a mandated
environmental cleanup. (pp. 17-18)
4. Here, the proper solution appears to be a fair allocation of the RI/FS costs between the defense and
indemnity provisions of the policy. There should be a presumption that mandated costs are indemnity costs
to be allocated to the indemnity provisions of the policy. The burden should be on the policyholder to show
that the insurance company has derived an unjust benefit from such an allocation to the extent that it has
relieved the insurance company of an expense that it would otherwise have incurred under its obligation to
defend. Unless resolved through avenues of alternative dispute resolution, trial courts have broad discretion
to determine, based on written submissions without any additional expert testimony, a fair allocation of the
costs between the defense and indemnity provisions of the policy. The scope of review of the trial court's
allocations shall be limited by principles of appellate review. (pp. 19-23)
Judgment of the Appellate Division allocating all the costs of the RI/FS to the defense provisions of
the policy is REVERSED. The matter is REMANDED to the Law Division to make a fair allocation of the
RI/FS costs between the defense and indemnity provisions of the policies.
CHIEF JUSTICE WILENTZ and JUSTICES HANDLER, POLLOCK, GARIBALDI, STEIN and
COLEMAN join in JUSTICE O'HERN's opinion.
SUPREME COURT OF NEW JERSEY
GENERAL ACCIDENT INSURANCE
Plaintiff-Appellant,
v.
STATE OF NEW JERSEY, DEPARTMENT
Defendants,
and
N.B. FAIRCLOUGH & SON, INC.,
Defendant and Third-Party
v.
HARTFORD INSURANCE COMPANY,
Third-Party Defendants.
Argued November 28, 1995 -- Decided March 26, 1996
On certification to the Superior Court,
Appellate Division, whose opinion is reported
at
278 N.J. Super. 412 (1995).
Michael H. Cohen argued the cause for
appellant (Morgan, Melhuish, Monaghan,
Arvidson, Abrutyn & Lisowski, attorneys).
James P. Fox argued the cause for respondent
(Morris, Downing & Sherred, attorneys).
Gerald A. Hughes submitted a brief on behalf
of amicus curiae, Insurance Environmental
Litigation Association (Hughes & Hendrix,
attorneys).
The opinion of the Court was delivered by
the right as well as the duty to conduct the defense on behalf of
the policyholder.
Defense costs under a cost-exclusive CGL
policy can eclipse the stated policy limit
where no settlements or judgments equaling
the limit are sustained. This is quite
different from a policy where defense costs
count towards the limit. Any combination of
settlements, judgments and defense costs
which equals the stated coverage limit will
exhaust such a policy.
Pursuant to express policy language and interpretive case law, fees for attorneys, investigators and experts retained in connection with the defense of lawsuits filed against the policyholder are readily classified as defense costs. In the environmental coverage arena, however, a question concerning the appropriate characterization of certain costs has nevertheless arisen. At issue are costs associated with government-mandated remedial investigation/feasibility studies (RI/FS), or similar government-mandated investigative
efforts. Pursuant to CERCLA [the
Comprehensive Environmental Response,
Compensation and Liability Act of 1980, 42
U.S.C. §§ 9601 to 9675], the EPA can force a
waste site PRP [potentially responsible
party] to perform an investigation in order
to determine the nature and extent of
environmental problems posed by hazardous
waste. Similar statutes also create
enforcement powers at the state environmental
agency level.
The RI/FS process may include the
monitoring and sampling of air, water and
soil and the compilation of sufficient data
to determine the necessity for, and the
proposed extent of, any action required to
remedy existing contamination. Remedial
investigations address whether environmental
damage can be mitigated or minimized by
controlling the source of the contamination,
or whether additional action is necessary
because of migration of contaminants from the
site. Feasibility studies comprise plans for
implementing the remediation alternative
selected for the site.
There is no secret as to why an insured
under a cost-exclusive policy would argue
that RI/FS costs should be classified as part
of the insurer's duty to defend. To the
extent [that] expenses associated with
performing a waste site RI/FS can be
attributed to the defense component of the
policy, there would be more indemnity
coverage potentially available to satisfy the
policyholder's liability for the clean-up.
There would also be more indemnity coverage
potentially available to satisfy liability
associated with other claims. Another reason policyholders may argue that RI/FS costs are part of the insurer's defense obligation is because the duty to defend is often held to be broader than the duty to indemnify. This means [that] an insurer could be called upon to provide a defense in cases where the allegations against the insured conceivably could, if proven, be covered under the terms of the policy. Based on this more generous standard for triggering the duty to defend,
policyholders often will move for summary
judgment on the duty to defend soon after a
lawsuit seeking coverage is filed. The
policyholder will argue that the court merely
has to facially examine the underlying
allegations in order to determine whether a
duty to defend exists while fact-sensitive
indemnity issues are being litigated in the
coverage case.[See footnote 1]
[Eileen B. Eglin & Stephen D. Straus,
As is often the case in environmental matters, this dispute about insurance coverage arises from events now long past. Plaintiff, General Accident Insurance Company (GAIC or General Accident), issued comprehensive general liability and automobile insurance policies to N.B. Fairclough & Son, Inc. for the period December 31, 1972, to December 31, 1975. The CGL policy provided annual property damage limits of liability of $100,000. During these policy years, Fairclough operated a fuel storage business on Route 202 in Montville Township, New Jersey. The operation included underground and above-ground tanks for the storage of
fuel oil and associated underground fuel oil lines. Fairclough
sold the property in 1978.
In 1985, renewed investigations revealed that fifteen nearby
homes had petroleum products in their private supply wells. On
December 31, 1985, DEPE issued Fairclough a directive letter
requiring it to collect and analyze water samples from the
contaminated wells and prepare a remedial action plan for the
contaminated soil and an investigation and remediation plan for
the contaminated groundwater to determine the full extent and
degree of contamination at the Fairclough site. Ultimately, the
DEPE determined that in order to provide potable water to the
nearby residents whose private supply wells had been
contaminated, the public water system would have to be extended
so that the residents might connect. In a subsequent directive
dated April 8, 1987, the Agency ordered Fairclough to pay for the
extension of the water mains and to close and seal the
contaminated private supply wells. The DEPE estimated that the
project would cost $719,400. It informed Fairclough that if it
failed to remit payment within thirty days, the DEPE would
complete the project using public funds and bring an action
against Fairclough for three times the Agency's costs of doing
so, as authorized by N.J.S.A. 58:10-23.11f. The DEPE later
served an administrative order on Fairclough that required it to
submit an RI/FS for the site and to analyze and monitor the water
supply from all private wells located within a targeted zone.
The order also assessed $190,500 in civil administrative
penalties pursuant to N.J.S.A. 13:1E-9e.
Fairclough demanded that GAIC provide a defense to and
indemnity for any claims arising out of the DEPE directives. The
CGL policy contained the familiar occurrence clause: "The
company will pay on behalf of the insured all sums which the
insured shall become legally obligated to pay as damages because
of bodily injury or property damage to which this insurance
applies, caused by an occurrence . . . ." On September 8, 1987,
General Accident filed a declaratory judgment action, asserting
that it had no obligation to defend or indemnify Fairclough
because none of the property damage cited by DEPE had occurred
during the period of the GAIC policies. In addition, General
Accident argued that the remedies sought from Fairclough by the
DEPE directives fell within the pollution exclusion clause in
Fairclough's policies.
"propriety of any payment of any portion of the indemnity limits
to a third party." The Appellate Division reversed. 278 N.J. Super. 412 (1995). It maintained that the plain language of the policy
encompassed the remedial investigation costs here involved. "The
critical language that must be focused upon is the provision that
the insurer `may make such investigation and settlement of claim
or suit as it deems expedient' . . . [the expenses] plainly serve
to delineate and mitigate [Fairclough's] potential ultimate
liability, albeit in response to DEPE directives." Id. at 417.
We granted the plaintiff's petition for certification.
140 N.J. 328 (1995).
At first, courts found that costs associated with government orders to cleanup environmental contamination did not constitute "damages." Those courts viewed the governmental order as an equitable remedy distinct from the concept of damages in the law. For example, in Continental Insurance Co. v. Northeastern Pharmaceutical & Chemical Co., 842 F.2d 977 (8th Cir.) (en banc), cert. denied, 488 U.S. 821, 109 S. Ct. 66, 102 L. Ed.2d 43 (1988), the court equated the assessment of cleanup costs under the comparable provisions of CERCLA with equitable relief and concluded that the term "damages" in the insurance policy had referred only to legal damages and did not cover cleanup costs. In Morton International v. General Accident Insurance Co., 134 N.J. 1, 25 (1993) (citations omitted), cert. denied, ___ U.S. ___, 114 S. Ct. 2764, 129 L. Ed.2d 878 (1994), we said that "[t]he clear weight of authority, however, among both federal and state courts adopts the view that the undefined term `damages' in
CGL policies should be accorded its plain, non-technical meaning,
thereby encompassing response costs imposed to remediate
environmental damage." Justice Stein quoted the language of the
Washington Supreme Court in Boeing Co. v. Aetna & Surety Co.,
784 P.2d 507, 511 (Wash. 1990): "Coverage does not hinge on the form
of action taken or the nature of relief sought, but on an actual
or threatened use of legal process to coerce payment or conduct
by a policyholder." Morton, supra, 134 N.J. at 26. Accordingly,
we held in Morton that "environmental-response costs and
remediation expenses . . . constitute sums that the policyholder
will have to pay `as damages' because of property damage, within
the meaning of the CGL policies at issue." Id. at 27.
contaminating seventy-nine different hazardous waste disposal
sites, groundwater beneath the sites, aquifers beneath adjoining
property, and surrounding surface waters. Their suit sought
injunctive relief compelling decontamination of the waste
disposal sites, and reimbursement for the agencies' costs of
investigating, monitoring, and initiating cleanup of hazardous
waste for which FMC allegedly is responsible. Id. at 1260.
FMC, in turn, sought recovery from its insurers. FMC argued that
these government mandated response costs fell under its CGL
policies, which required its insurers to provide coverage for all
sums that FMC became "legally obligated" to pay as "damages"
incurred because of "property damage." Id. at 1266. The
California Supreme Court held that costs incurred to comply with
an injunction mandating cleanup or to reimburse a government
agency for cleanup expenses it has incurred constitute "damages"
under FMC's insurance policy. The court stated:
merely those resulting from actual cleanup
efforts on government property.
[AIU, supra, 799 P.
2d at 1270
In Intel Corp. v. Hartford Accident and Indemnity Co.,
952 F.2d 1551 (9th Cir. 1991), the court extended the concept of AIU
to cover costs associated with a consent decree. It reasoned
that the "[c]overage of cleanup costs should not turn on the
fortuity of the form in which the offending company fulfills its
cleanup responsibilities." Id. at 1564. Thus, the court held
that costs incurred pursuant to a consent decree are covered
damages under the policyholder's CGL policy.
In Higgins Industries v. Fireman's Fund Insurance Co., 730 F. Supp. 774 (E.D. Mich. 1989), Higgins' CGL carriers initially denied coverage for the costs associated with an investigation into groundwater contamination that was ordered by the Michigan Department of Natural Resources. The carriers contended that their duty to defend the company attaches only at the commencement of a formal legal proceeding. Id. at 775. The
court held that the carriers' duty to defend arose upon "an
actual or threatened use of legal process to coerce payment or
conduct by a policyholder." Id. at 778 (quotation omitted). It
then referred the case to a federal magistrate for a
determination of which costs were defense costs and which were
indemnity costs.
In the third of the trilogy, Fireman's Fund Insurance
Companies v. Ex-Cell-O Corp.,
790 F. Supp. 1318 (E.D. Mich.
1992), the court adopted a special master's report that concluded
that hydrogeological studies, undertaken in response to various
governmental demands, were studies that an environmental defense
lawyer would need to defeat or limit a policyholder's liability.
Id. at 1336, 1338. The court recognized the difficulty of
drawing the line between studies that will help to "mitigate or
reduce liability" and those that are done to "correct the
problem." The Ex-Cell-O court held that "defense costs include
not only those reasonable and necessary costs to defeat or limit
liability, but also those costs, including consulting fees, that
are reasonable and necessary to limiting the scope and/or costs
of remediation, even if similar or identical studies have been
ordered by the government." Id. at 1338.
Each of these cases reaches a result but none provides a comprehensive principle of decision. For example, the threads of policy that underlie these decisions pull in different directions. These policy considerations include the following: (1) Fortuity Fortuity should not dictate the outcome of the controversy. This principle was relied upon by the AIU court, the Intel court and our own Appellate Division in Broadwell Realty Services v. Fidelity & Casualty Co. 218 N.J. Super. 516 (App. Div. 1987),
overruled on other grounds, Morton, supra, 134 N.J. at 28. For
example, in AIU it was considered fortuitous that the government
had ordered the potentially responsible party to conduct the
RI/FS studies rather than to have undertaken the task itself.
AIU, supra, 799 P.
2d at 1263. In Intel it was considered
fortuitous that the PRP had entered a consent decree to perform
the necessary response costs. Intel, supra, 952 F.
2d at 1564.
In Broadwell it was considered fortuitous that abatement measures
were taken on the policyholder's property rather than on adjacent
lands, and that the measures were in response to a DEPE
directive. Broadwell, supra, 218 N.J. Super. at 527. In each
case, the court found that the legal results should be the same
regardless of the circumstances under which the expenditures were
made.
coverage, that the parties to the contracts are on a much more
level playing field and that contract-of-adhesion principles are
not as fully applicable as in other circumstances. Owens-Illinois, Inc. v. United Ins. Co.,
138 N.J. 437, 471 (1994). We
may safely assume that policyholders generally expect that a
careful investigation of their potential liability will be
provided by their insurance company pursuant to its duty to
defend against any claims. Likewise, most insurance companies
expect that they will incur these expenses. That the government
orders a policyholder to perform remedial investigations does not
change the character of the work or the initial expectations of
the parties. The more difficult question is whether a
policyholder could fairly expect that an insurance company would
bear limitless liability to perform remedial investigations when
those investigations were incidental to a mandated environmental
cleanup. Or, put differently, the question is whether an
insurance company that had issued a policy with limits of
$100,000 would expect to undertake a remedial study that might
cost millions of dollars.
environmental disease or damage. A related principle of
decisionmaking is to provide incentives for parties to engage in
responsible conduct that will increase, not decrease, available
resources. For example, in Intel, supra, the court reasoned that
[i]f consent decree compliance costs did not
constitute `damages,' insureds would be
discouraged from entering into consent
decrees, and the EPA's task would be more
time consuming and more costly. Cleanup
would be delayed until the government
expended its resources to investigate
contamination, and perhaps even to conduct
cleanup itself, and finally sought relief
from the insured.
[Intel, supra, 952 F.
2d at 1564
Although treating RI/FS costs as damages (as when policyholders
promptly consent to perform an RI/FS) tends to expedite
settlement and disposition of environmental cleanup cases,
treatment of such costs as defense costs would increase the
amount of resources available for environmental cleanups (because
the duty to defend is often exclusive of the policy limits).
fell within the duty-to-defend component of its insurance
policies. In reversing its prior order, the court reflected upon
the dual aspects of an RI/FS.
Hence, we believe that the only fair result is a balanced
solution that takes multiple factors into account. If it is
clear that the expenditure clearly kills two birds with one stone
in the sense of fulfilling a defense obligation while also
relieving the policyholder of a potential claim for damages, the
proper solution appears to be a fair allocation of the RI/FS
costs between defense and indemnity provisions of the policy. At
the same time, we do not want to encourage needless litigation.
The advantage of a black-letter rule is simplicity in
administration. We must avoid, at all costs, another war of
experts to determine how much of the costs should be allocated to
defense and how much to indemnity. We believe that there should be a presumption that mandated costs are indemnity costs to be allocated to the indemnity provisions of the policy. The burden should be on the policyholder to show that the insurance company has derived an unjust benefit from such an allocation to the extent that it has relieved the insurance company of an expense that it would otherwise have incurred under its obligation to defend. As is the case here, these disputes will often arise in the context of a larger controversy about environmental contamination involving the environmental agencies, PRP's and their insurance companies. Such disputes seem ideally suited for mediation or arbitration under court-annexed programs of alternate dispute resolution or on the parties' own initiative. Failing such resolution of the dispute in whole or in part, trial courts (upon recommendation of a master if one is appointed by the court) shall have broad discretion to resolve, based on written submissions without any additional expert testimony, a fair allocation of the costs between the defense and indemnity provisions of the policies. The scope of review of the trial court's allocation shall be limited by the familiar principles of appellate review. Among the factors the tribunal should consider are the following: (1) the relative risk that the PRP bore if it did not produce the RI/FS; for example, how realistic was the threat of treble damages; (2) the extent to which the details of the RI/FS may have been mandated by the environmental agencies; (3) the extent to which the RI/FS studies provide a means by
which the insurance company or the policyholder would be relieved
of or be able to mitigate potential claims for damages; and (4)
the cost of producing the RI/FS in relation to the policy limits
provided.
disputes that are not plainly controlled by policy language. It
is quite obvious to us that in most instances, RI/FS studies
probably do serve to discharge an obligation of the PRP. There
will almost always have been an "actual or threatened use of
legal process to coerce . . . a policyholder" to make payment for
the RI/FS. Morton, supra, 134 N.J. at 26 (citation omitted). At
the same time, the RI/FS studies may also discharge an obligation
of the insurance company to provide a potential defense to or
mitigation of damages. Principles of simple justice suggest that
there should be an allocation of the costs between defense and
indemnity. Each party to the policy has had an obligation
discharged.
NO. A-44 SEPTEMBER TERM 1995
GENERAL ACCIDENT INSURANCE
DECIDED March 26, 1996
Footnote: 1In this case, we are spared the necessity of considering the extent to which the duty to defend under a CGL policy might exceed the duty to indemnify. The parties entered a stipulation that when the policy's indemnity limits were exceeded, the insurance company's duty to defend its policyholder expired.
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